Journal of

Case Reports and Images in Dentistry

 
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Case Report
 
Mucosal defect repair with a polyglycolic acid sheet and fibrin glue after resection of large pleomorphic adenoma of the palate
Harusachi Kanazawa1, Atsushi Kasamatsu2, Katsuhiro Uzawa3
1DDS, PhD, Chief, Division of Dentistry and Oral-Maxillofacial Surgery, Sanmu Medical Center, 167 Naruto Sanmu City, Chiba 289-1326, Japan.
2DDS, PhD, Instructor, Department of Dentistry and Oral-Maxillofacial Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba 260-8670, Japan.
3DDS, PhD, Associate professor, Department of Dentistry and Oral-Maxillofacial Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba 260-8670, Japan.

Article ID: 100010Z07HK2016
doi:10.5348/Z07-2016-10-CR-8

Address correspondence to:
Harusachi Kanazawa
167 Naruto, Sanmu City
Chiba
Japan, 260-8677

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How to cite this article:
Kanazawa H, Kasamatsu A, Uzawa K. Mucosal defect repair with a polyglycolic acid sheet and fibrin glue after resection of large pleomorphic adenoma of the palate. J Case Rep Images Dent 2016;2:33–36.


Abstract
Introduction: Treatment of choice for pleomorphic adenoma of the hard palate is wide local resection of the tumor including the overlying mucosa and underlying periosteum. Most conventional methods for covering the resulting palatal wound are prosthetic devices. In this case, we examined the validity of grafting a polyglycolic acid sheet and fibrin glue over a mucosal defect of the palate with a bony surface, as a substitute for a surgical splint.
Case Report: A 39-year-old male presented with a large, solid mass located on the right hard palate. Fine-needle aspiration cytology suggested pleomorphic adenoma. The patient underwent wide local resection of the lesion, and the mucosal defect was immediately covered with polyglycolic acid sheets, that were fixed with a fibrin glue spray. These sheets were tightly placed and remained in the wound, which led to complete epithelialization of the wound surface.
Conclusion: Grafting the polyglycolic acid sheet with fibrin glue fixation is a useful substitute for the conventional surgical splint to cover a mucosal defect of the hard palate.

Keywords: Mucosal defect, Palate, Pleomorphic adenoma, Polyglycolic acid sheet


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Author Contributions
Harusachi Kanazawa – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Atsushi Kasamatsu – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Katsuhiro Uzawa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Harusachi Kanazawa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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